RAPID CITY, S.D. (JAN. 30, 2026) – Rapid City Medical Center and Monument Health announced today that they have signed a Letter of Intent (LOI) for Rapid City Medical Center to join Monument Health. Under the LOI, the parties will perform further due diligence with the intention to sign definitive agreements and close on the transaction later this spring.
Health care delivery is evolving rapidly, and both organizations believe it is responsible to proactively evaluate how best to support physicians, caregivers and patients while maintaining strong access to care across the region.
Rapid City Medical Center and Monument Health share a longstanding commitment to physician leadership, community-based care and keeping patients close to home. The LOI provides a framework for the organizations to come together after closing to support these shared priorities. In conjunction with the deal, while many Rapid City Medical Center physicians will join Monument Health, other physicians will continue to serve the community by remaining independent or joining other practices.
Both organizations will continue to operate independently through the transition process. Patient care, providers, clinic locations and insurance participation currently remain unchanged.
“Rapid City Medical Center was founded by physicians committed to caring for people in the Black Hills, and that commitment hasn’t changed,” said Jay Hammerquist, Rapid City Medical Center CEO. “We’re pursuing this transaction because Monument Health shares our belief in physician leadership, community-based care and the importance of keeping health care decisions rooted here at home.”
“Monument Health was built to serve this region, and our mission has always been centered on caring for our neighbors close to home,” said Paulette Davidson, Monument Health President and CEO. “We respect the strong physician-led culture at Rapid City Medical Center and believe it’s important to develop a closer relationship—grounded in our shared values and long-standing commitment to the Black Hills—that will support patients, physicians and caregivers over the long term.”
Additional information will be shared when available.
About Monument Health
Headquartered in Rapid City, S.D., Monument Health is a community-based health care system with a mission to make a difference, every day. The system offers care in 31 medical specialties and serves 14 communities across western South Dakota and in eastern Wyoming. With over 5,600 physicians and caregivers, Monument Health is composed of 5 hospitals and 40 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network.
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